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- W3036689312 abstract "Intrahepatic bile leaks secondary to disconnected hepatic segments following liver resection can be difficult to treat [1]. There are only isolated reports of successful endoscopic management [2] [3]. We present the case of a 41-year-old woman with colorectal cancer and hepatic secondaries who received a segment IVb liver resection and multisegment microwave ablation. Surgery was complicated by biliary sepsis and a large biliary leak. Baseline cross-sectional imaging and endoscopic retrograde cholangiopancreatography (ERCP) established the presence of a surgically clipped left hepatic duct and disconnected left lobe leaking into an intrahepatic cavity ([Fig. 1]). Left-sided percutaneous transhepatic biliary drainage (PTBD) was performed and then, under direct cholangioscopic guidance (SpyGlass DS direct visualization system; Boston Scientific, Marlborough, Massachusetts, USA), the occluded left hepatic duct was dilated and the cavity accessed ([Video 1])." @default.
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- W3036689312 date "2020-06-19" @default.
- W3036689312 modified "2023-10-14" @default.
- W3036689312 title "Bile duct reconstruction with single-operator cholangioscopy and percutaneous radiological rendezvous procedure" @default.
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- W3036689312 doi "https://doi.org/10.1055/a-1189-2806" @default.
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